EIN 	Name Control	Business Name 1	Business Name 2	Address 1	Address 2	City	State	Zip Code	Preparer / Agent Name	Preparer / Agent Title	Company Contact Name	Company Contact Title	Phone Number	e-Mail Address	Signature Name	Signature Date	Account Type	Routing Number	Account Number	Online PIN ( For Indirect Filers Only)	Preparer Tax Identification Number (PTIN)	End of Period (MM/DD/YYYY)	Employees (Positive Integer)	 Total Wages (Currency)	Total Tax Withheld (Currency)	"Wages not Subject to SS/Medicare (Valid Values 1 for Yes, 0 for No)"	Taxable SS Wages (Currency)	Taxable SS Tips (Currency)	Taxable Medicare Wages (Currency)	Tax On Unreported Tips 3121q (Currency)	Not Used	Not Used	Not  Used	Current Quarter's Fractions of Cents (Currency)	Current Quarter's Sick Pay (Currency)	Current Quarter's Adjustment for tips and Group-Term Life Insurance (Currency)	 COBRA Premium Assistance Payments (Currency)	Number of Inviduals provide COBRA Assistance payments on Line 12a (Must be at least 1 if value in 12A - Currency)	Not  Used	Not Used	Not Used	Total Deposits (Currency)	Deposit State (Only for 2011 Returns - Not Used Otherwise)	"Seasonal ( 1 for Yes, and 0 for No)"	Date of Final Return (MM/DD/YYYY)	"Monthly or Semi-Weekly (Valid Values are M, S or Blank)"	First Month Liability (Only if M in Monthly or Semi-Monthly column)	Second Month Liability (Only if M in Monthly or Semi-Monthly column)	Third Month Liability  (Only if M in Monthly or Semi-Monthly column)	Refund or Apply to Next Return ( for Overpayment Only ) Default to R	Schedule B Month 1 Day 1 (Currency)	Schedule B Month 1 Day 2	Schedule B Month 1 Day 3	Schedule B Month 1 Day 4	Schedule B Month 1 Day 5	Schedule B Month 1 Day 6 	Schedule B Month 1 Day 7	Schedule B Month 1 Day 8	Schedule B Month 1 Day 9	Schedule B Month 1 Day 10	Schedule B Month 1 Day 11	Schedule B Month 1 Day 12	Schedule B Month 1 Day 13	Schedule B Month 1 Day 14	Schedule B Month 1 Day 15	Schedule B Month 1 Day 16	Schedule B Month 1 Day 17	Schedule B Month 1 Day 18	Schedule B Month 1 Day 19	Schedule B Month 1 Day 20	Schedule B Month 1 Day 21	Schedule B Month 1 Day 22	Schedule B Month 1 Day 23	Schedule B Month 1 Day 24	Schedule B Month 1 Day 25	Schedule B Month 1 Day 26	Schedule B Month 1 Day 27	Schedule B Month 1 Day 28	Schedule B Month 1 Day 29	Schedule B Month 1 Day 30	Schedule B Month 1 Day 31	Schedule B Month 2 Day 1	Schedule B Month 2 Day 2	Schedule B Month 2 Day 3	Schedule B Month 2 Day 4	Schedule B Month 2 Day 5	Schedule B Month 2 Day 6 	Schedule B Month 2 Day 7	Schedule B Month 2 Day 8	Schedule B Month 2 Day 9	Schedule B Month 2 Day 10	Schedule B Month 2 Day 11	Schedule B Month 2 Day 12	Schedule B Month 2 Day 13	Schedule B Month 2 Day 14	Schedule B Month 2 Day 15	Schedule B Month 2 Day 16	Schedule B Month 2 Day 17	Schedule B Month 2 Day 18	Schedule B Month 2 Day 19	Schedule B Month 2 Day 20	Schedule B Month 2 Day 21	Schedule B Month 2 Day 22	Schedule B Month 2 Day 23	Schedule B Month 2 Day 24	Schedule B Month 2 Day 25	Schedule B Month 2 Day 26	Schedule B Month 2 Day 27	Schedule B Month 2 Day 28	Schedule B Month 2 Day 29	Schedule B Month 2 Day 30	Schedule B Month 2 Day 31	Schedule B Month 3 Day 1	Schedule B Month 3 Day 2	Schedule B Month 3 Day 3	Schedule B Month 3 Day 4	Schedule B Month 3 Day 5	Schedule B Month 3 Day 6 	Schedule B Month 3 Day 7	Schedule B Month 3 Day 8	Schedule B Month 3 Day 9	Schedule B Month 3 Day 10	Schedule B Month 3 Day 11	Schedule B Month 3 Day 12	Schedule B Month 3 Day 13	Schedule B Month 3 Day 14	Schedule B Month 3 Day 15	Schedule B Month 3 Day 16	Schedule B Month 3 Day 17	Schedule B Month 3 Day 18	Schedule B Month 3 Day 19	Schedule B Month 3 Day 20	Schedule B Month 3 Day 21	Schedule B Month 3 Day 22	Schedule B Month 3 Day 23	Schedule B Month 3 Day 24	Schedule B Month 3 Day 25	Schedule B Month 3 Day 26	Schedule B Month 3 Day 27	Schedule B Month 3 Day 28	Schedule B Month 3 Day 29	Schedule B Month 3 Day 30	Schedule B Month 3 Day 31
666666666	ELEC	Electric Corporation	Test International	242 Elm St.	Suite Z	Annapolis Junction	MD	20701	Tim Welch	Accountant	Tina Welch	Bookeeper	3015551212	tw@lswonline.com	Tim Welsh	4/1/2008						3/31/2011	240	 	 		"$2,000.00 "	"$2,000.00 "	"$2,000.00 "	$24.00 	 	 	 	$0.00 	$0.00 	$0.00 	$0.00 	0	0	$0.00 	$0.00 	"$2,000.00 "	MD	1	 	M	$150.00 	$150.00 	$174.00 	R							 	 		 																						 																																																													
888888888	HENN	Henning Systems		393 Florida Ave		Silver Spring	MD	20601	Cynthia Henning	Owner	Sandra Bullock	Bookeeper	3018393209	sb@lswonline.com	Cynthia Henning	4/12/2008						3/31/2011	22	"$30,393.39 "	$23.00 	0	"$30,000.00 "	"$30,000.00 "	"$30,000.00 "	$0.00 	 	 	 	$39.39 	($3.30)	$0.00 	$67.00 	1	0	$0.00 	$0.00 	"$10,000.00 "	MD	0	 	S				A	"$1,000.00 "														$676.61 															"$1,000.00 "		 														"$1,000.00 "								$145.39 					$347.09 		 		$0.00 															"$2,000.00 "														"$1,000.00 "	$0.00 
555555555	JOHN	Johnson Plumbing	Roto Rooter	21 History Road		Springdale	MD	20774	James Johnson	Owner	Jenny Wilson	Bookeeper	3013244929	jj@lswonline.com	James Johnson	3/15/2008						3/31/2011	3000	"$769,505.49 "	"$22,302.00 "	1	"$765,594.39 "	"$765,594.39 "	"$765,594.39 "	$0.00 	 	 	 	"$2,382.29 "	($0.39)	$0.00 	$500.00 	25	0	$0.00 	$0.00 	"$250,000.00 "	NJ	0		S				A	$0.00 	"$3,000.00 "			 					 				 			"$21,295.08 "															"$50,000.00 "					"$50,000.00 "								"$1,918.84 "							"$46,162.32 "											"$3,000.00 "								"$30,753.54 "														$0.00 								
777777777	TEST	Testing Corporation	Storage Solutions	223 Misdemeanor Ave	Suite B	Rockville	MD	20654	Kenneth Sims	President	Brenda Willis	Financial Secretary	2402224544	bw@lswonline.com	Brenda Willis	3/1/2008	Checking	255071981	333333333			3/31/2011	229	"$100,290.00 "	$33.00 	0	"$100,290.00 "	"$100,290.00 "	"$100,290.00 "	"$1,000.00 "	 	 	 	$232.00 	$0.00 	$0.00 	$0.00 	0	0	$0.00 	$0.00 	"$15,000.00 "	CA	0	1/30/2011	M	"$8,000.00 "	"$8,000.00 "	"$8,033.73 "	R